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General NPI Number Information
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NPI Number | 1467658534
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Entity Type | Individual
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Provider Name | CHRISTINA EDANO EDNALINO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 08/10/2012
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Provider Practice Location Address
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Address Line | 1963 ROCKAWAY PKWY
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City | BROOKLYN
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State | NY
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Zip | 11236-5505
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Country | US
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Telephone | 718-241-1513
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Fax |
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Provider Business Mailing Address
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Address Line | 17 WOODS DR
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City | ROSLYN
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State | NY
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Zip | 11576-2616
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Country | US
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Telephone | 516-426-9700
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 265736
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License Number State | NY
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